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Per Square Metre

Per Square Metre

Payer-side FHIR architecture: Da Vinci IG adoption, analytics stacks, and payer platform engineering notes.

  • Terminology server
  • Medical form builder
  • Master patient index

Author: Jacob Berkowitz

Health IT consultant in Boston. Writes about patient access APIs and the operational gap between FHIR specs and member experience.
Top 6 FHIR Data Store Patterns for Reusable Compliance Investment

Top 6 FHIR Data Store Patterns for Reusable Compliance Investment

The FHIR data store is the architectural decision that determines whether CMS-0057-F compliance becomes a reusable platform investment or stays…

Top 5 PostgreSQL-Based FHIR Engines for 2026

Top 5 PostgreSQL-Based FHIR Engines for 2026

PostgreSQL has become the default storage substrate for production FHIR platforms in 2026. The JSONB column type stores FHIR resources…

Top 5 Da Vinci HRex Use Cases for Payer Implementations

Top 5 Da Vinci HRex Use Cases for Payer Implementations

Health Record Exchange (HRex) is the Da Vinci foundation IG that other Da Vinci IGs build on. Most payer implementations…

The Complete Guide to the Da Vinci Ecosystem for CMS-0057-F

The Complete Guide to the Da Vinci Ecosystem for CMS-0057-F

The HL7 Da Vinci Project produces the FHIR Implementation Guides that CMS-0057-F relies on. The ecosystem covers Coverage Requirements Discovery,…

FHIR-Native vs Compliance Gateway: Architectural Trade-Offs for CMS-0057-F

FHIR-Native vs Compliance Gateway: Architectural Trade-Offs for CMS-0057-F

The architectural choice between a FHIR-native stack and a compliance gateway determines what the CMS-0057-F investment becomes three years from…

Cloud-Hosted vs Self-Hosted FHIR Platforms for CMS-0057-F

Cloud-Hosted vs Self-Hosted FHIR Platforms for CMS-0057-F

The deployment model for the CMS-0057-F FHIR platform is one of the choices that gets less attention than vendor selection…

Best FHIR Profile Development Tools for Da Vinci IG Authoring

Best FHIR Profile Development Tools for Da Vinci IG Authoring

Most payers do not author Da Vinci IGs directly. They consume the IGs HL7 publishes and customize at the profile…

5 FHIR Storage Anti-Patterns That Hurt CMS-0057-F Performance

5 FHIR Storage Anti-Patterns That Hurt CMS-0057-F Performance

FHIR storage design has predictable failure modes that surface under production CMS-0057-F load. The anti-patterns below produce systems that pass…

My Unexpected Journey into Healthcare Data with a FHIR Store

My Unexpected Journey into Healthcare Data with a FHIR Store

Have you ever felt completely overwhelmed by a new subject, like staring into a black hole of jargon and acronyms?…

Harness 7 Powerful Strategies to Transform Your Paper Forms into Digital Solutions

Harness 7 Powerful Strategies to Transform Your Paper Forms into Digital Solutions

Ever find yourself drowning in a sea of paper forms? You’re not alone! I used to think paper was just……

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Older posts

Fixing broken refs?

Fixing broken refs?

Debugging a Bundle full of broken references? a Bundle reference walker parked here will find the culprits.

Recent Posts

  • FHIR Search Performance Across 4 Servers: A First Look at the Numbers
  • Top 6 FHIR Data Store Patterns for Reusable Compliance Investment
  • Top 6 Da Vinci IGs Every Health Plan Should Track in 2026
  • Top 6 AI/ML Training Data Patterns on FHIR for Payer Models
  • Top 5 Risk Adjustment Patterns Using FHIR Clinical Data

Categories

  • Da Vinci Ecosystem
  • Fhir Platform Architecture
  • Master patient index
  • Medical form builder
  • Payer Side Analytics Ai
  • Terminology server

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